Tobacco use patterns and clinical outcomes in the T1D exchange

被引:4
作者
Rash, Carla J. [1 ]
Alessi, Sheila M. [1 ]
Foster, Nicole [3 ]
Tamborlane, William [4 ]
Van Name, Michelle A. [4 ]
Wagner, Julie A. [2 ]
机构
[1] UConn Sch Med, Farmington, CT 06030 USA
[2] UConn Sch Dent Med, Farmington, CT USA
[3] Jaeb Ctr Hlth Res, Tampa, FL USA
[4] Yale Sch Med, New Haven, CT USA
基金
芬兰科学院;
关键词
Cigarette smoking; Diabetes; Cessation; CIGARETTE-SMOKING; HEALTH; ADULTS; CARE; NEPHROPATHY; PROGRESSION; ALCOHOL; TRENDS; RISK;
D O I
10.1016/j.jdiacomp.2022.108128
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: This study examined associations between tobacco use and diabetes outcomes using the T1D Exchange Registry. Methods: Adult participants (N = 933) completed standardized questionnaires including self-reported outcomes: past year serious hypoglycemic and diabetic ketoacidosis episodes, diabetes self-care, diabetes distress, and self-monitoring of blood glucose. Chart-extracted outcomes included HbA1c, nephrology and neuropathy diagnoses, and BMI. We examined the relation of tobacco use status (never, former, current) and frequency of use (daily versus less than daily) to these outcomes. Results: The majority had never used tobacco (55%, n = 515); 27% (n = 252) were former users and 18% (n = 166) were current users (with 31% using daily). Tobacco status was associated with HbA1c, BMI, self-care, distress, and blood glucose monitoring frequency. Across most outcomes, current users evidenced worse values relative to never users, and former users were largely similar to never users. Daily use was associated with significantly worse outcomes on HbA1c, diabetes self-care, and distress scores relative to less than daily use. Conclusions: These cross-sectional comparisons suggest that current tobacco use is associated with worse status on important clinical diabetes indicators. Former users did not evidence these deleterious associations. Findings point to potential diabetes-specific motivators that could inform tobacco cessation interventions.
引用
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页数:6
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